Bonnie Brabson

Individual provider Active NPI Marriage & Family Therapist · Merrillville, IN

NPI 1629526686 · NPPES record last updated Sep 19, 2016

Key facts

NPI
1629526686
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
Practice address
8200 Georgia St
Merrillville, IN 46410-6227
Phone
(219) 791-1400
Fax
(219) 791-1422
NPI assigned
Sep 19, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Innovations in Learning, PC Past
since Nov 30, 2006
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Yes

Addresses

Primary practice location

8200 Georgia St
Merrillville, IN 46410-6227

Mailing address

8200 Georgia St
Merrillville, IN 46410-6227
Phone (219) 791-1400

Other providers in Merrillville, IN

All providers in Merrillville, IN · Marriage & Family Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.